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Komite Olahraga Nasional Indonesia

Kabupaten Pasaman Barat

LEMBAR DISPOSISI PROPOSAL MASUK


TAHUN 2023

Cabang Olahraga : …………………………………………………………………..


Nomor : …………………………………………………………………..
Kegiatan : …………………………………………………………………..
Tanggal Masuk : …………………………………………………………………..
No Contact : …………………………………………………………………..

Penerima : …………………………………………………............................... No.Agenda : ………….


Tanggal Terima : ………………………………………………..................................

Perihal :............................................................................................................
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Keputusan :….…………………………………….
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Sekretariat : Jl. Cindua Mato, Simpang Empat, Pasaman Barat 26566


Telp. (0753) 65100 fax. (0753) 65100 E-mail : konipasbar1822@gmail.com
Komite Olahraga Nasional Indonesia
Kabupaten Pasaman Barat

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LEMBAR DISPOSISI PROPOSAL MASUK


TAHUN 2023

Cabang Olahraga : …………………………………………………………………..


Nomor : …………………………………………………………………..
Kegiatan : …………………………………………………………………..
Tanggal Masuk : …………………………………………………………………..
No Contact : …………………………………………………………………..

Penerima : …………………………………………………............................... No.Agenda :


………………….
Tanggal Terima : ………………………………………………..................................

Perihal :............................................................................................................
....................................….…………………………………….
……………...........................
………………………………………......................................................
....………………………….
…………………………….....................................................................
.............................................................................................................
.............................................................................................................
.............................................................................................................
.....................................
Note :….…………………………………….
……………..........................................
…………………………………….
…………………......................................
…………………………………………...................................................
.....…….………………….
…………………………….....................................................................
.............................................................................................................

Sekretariat : Jl. Cindua Mato, Simpang Empat, Pasaman Barat 26566


Telp. (0753) 65100 fax. (0753) 65100 E-mail : konipasbar1822@gmail.com
Komite Olahraga Nasional Indonesia
Kabupaten Pasaman Barat

.............................................................................................................
.............................................................................................................
.....................................................
Keputusan :….…………………………………….
……………..........................................
…………………………………….
…………………......................................
…………………………………………...................................................
.......……………………….
…………………………….....................................................................
.............................................................................................................
.............................................................................................................
.............................................................................................................
....................................................

Sekretariat : Jl. Cindua Mato, Simpang Empat, Pasaman Barat 26566


Telp. (0753) 65100 fax. (0753) 65100 E-mail : konipasbar1822@gmail.com

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